Why don't urban youth in Zambia use condoms? The influence of gender and marriage on non-use of male condoms among young adults
Zambia experiences high unmet need for family planning and high rates of HIV, particularly among youth. While male condoms are widely available and 95% of adults have heard of them, self-reported use in the past 12 months is low among young adults (45%). This study describes factors associated with...
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| Veröffentlicht in: | PloS one 2017-03, Vol.12 (3), p.e0172062-e0172062 |
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| creator | Pinchoff, Jessie Boyer, Christopher B Mutombo, Namuunda Chowdhuri, Rachna Nag Ngo, Thoai D |
| description | Zambia experiences high unmet need for family planning and high rates of HIV, particularly among youth. While male condoms are widely available and 95% of adults have heard of them, self-reported use in the past 12 months is low among young adults (45%). This study describes factors associated with non-use of male condoms among urban young adults in Zambia.
A household cross-sectional survey in four urban districts was conducted from November 2015 to January 2016 among sexually active young adults ages 18-24 years. A random walk strategy was implemented in urban areas; eligible, enrolled participants were administered a survey on household characteristics, health access, and knowledge, attitudes and practices related to contraception. Relative risk regression models were built to determine factors associated with the decision to not use a male condom (non-use) at most recent sexual intercourse.
A total of 2,388 individuals were interviewed; 69% were female, 35% were married, and average lifetime sex partners was 3.45 (SD±6.15). Non-use of male condoms was 59% at most recent sexual intercourse. In a multivariate model, women were more likely to report non-use of a male condom compared with men (aRR = 1.24 [95% CI: 1.11, 1.38]), married individuals were more likely to report non-use compared with unmarried individuals (aRR = 1.59 [1.46, 1.73]), and those residing in the highest poverty wards were more likely to report non-use compared with those in the lowest poverty wards (aRR = 1.31 [1.16, 1.48]). Those with more negative perceptions of male condom use were 6% more likely to report non-use (aRR = 1.06 [1.03, 1.09]). Discussion regarding contraception with a partner decreased non-use 13% (aRR = 0.87 [0.80, 0.95]) and agreement regarding male condom use with a partner decreased non-use 16% (aRR = 0.84 [0.77, 0.91)]).
Non-use of male condoms is high among young, married adults, particularly women, who may be interested in contraception for family planning but remain at risk of STI infection. Effective marketing strategy of dual protection methods to this population is critical. |
| doi_str_mv | 10.1371/journal.pone.0172062 |
| format | Article |
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A household cross-sectional survey in four urban districts was conducted from November 2015 to January 2016 among sexually active young adults ages 18-24 years. A random walk strategy was implemented in urban areas; eligible, enrolled participants were administered a survey on household characteristics, health access, and knowledge, attitudes and practices related to contraception. Relative risk regression models were built to determine factors associated with the decision to not use a male condom (non-use) at most recent sexual intercourse.
A total of 2,388 individuals were interviewed; 69% were female, 35% were married, and average lifetime sex partners was 3.45 (SD±6.15). Non-use of male condoms was 59% at most recent sexual intercourse. In a multivariate model, women were more likely to report non-use of a male condom compared with men (aRR = 1.24 [95% CI: 1.11, 1.38]), married individuals were more likely to report non-use compared with unmarried individuals (aRR = 1.59 [1.46, 1.73]), and those residing in the highest poverty wards were more likely to report non-use compared with those in the lowest poverty wards (aRR = 1.31 [1.16, 1.48]). Those with more negative perceptions of male condom use were 6% more likely to report non-use (aRR = 1.06 [1.03, 1.09]). Discussion regarding contraception with a partner decreased non-use 13% (aRR = 0.87 [0.80, 0.95]) and agreement regarding male condom use with a partner decreased non-use 16% (aRR = 0.84 [0.77, 0.91)]).
Non-use of male condoms is high among young, married adults, particularly women, who may be interested in contraception for family planning but remain at risk of STI infection. Effective marketing strategy of dual protection methods to this population is critical.</description><identifier>ISSN: 1932-6203</identifier><identifier>EISSN: 1932-6203</identifier><identifier>DOI: 10.1371/journal.pone.0172062</identifier><identifier>PMID: 28333963</identifier><language>eng</language><publisher>United States: Public Library of Science</publisher><subject>Acquired immune deficiency syndrome ; Adult ; Adults ; AIDS ; Analysis ; Biology and Life Sciences ; Condoms ; Condoms - statistics & numerical data ; Contraception ; Contraception - methods ; Cross-Sectional Studies ; Family planning ; Female ; Gender ; Health aspects ; Health Knowledge, Attitudes, Practice ; Health risks ; Humans ; Lentivirus ; Male ; Marriage - psychology ; Medicine and Health Sciences ; People and Places ; Poverty ; Random walk ; Regression analysis ; Regression models ; Retroviridae ; Risk factors ; Risk-Taking ; Safe Sex - psychology ; Sex Education - methods ; Sexual behavior ; Sexual Behavior - psychology ; Sexual intercourse ; Sexual Partners - psychology ; Sexually transmitted diseases ; STD ; Studies ; Surveys and Questionnaires ; Urban areas ; Urban Population ; Young Adult ; Young adults ; Youth ; Zambia</subject><ispartof>PloS one, 2017-03, Vol.12 (3), p.e0172062-e0172062</ispartof><rights>COPYRIGHT 2017 Public Library of Science</rights><rights>2017 Pinchoff et al. This is an open access article distributed under the terms of the Creative Commons Attribution License: http://creativecommons.org/licenses/by/4.0/ (the “License”), which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><rights>2017 Pinchoff et al 2017 Pinchoff et al</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c725t-dc94c5b1bf55a5eac1a65cba434f807318a28e09fcc0db9810ddbca17622b1f93</citedby><cites>FETCH-LOGICAL-c725t-dc94c5b1bf55a5eac1a65cba434f807318a28e09fcc0db9810ddbca17622b1f93</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC5363807/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC5363807/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,314,727,780,784,864,885,2102,2928,23866,27924,27925,53791,53793</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/28333963$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><contributor>Price, Matt A</contributor><creatorcontrib>Pinchoff, Jessie</creatorcontrib><creatorcontrib>Boyer, Christopher B</creatorcontrib><creatorcontrib>Mutombo, Namuunda</creatorcontrib><creatorcontrib>Chowdhuri, Rachna Nag</creatorcontrib><creatorcontrib>Ngo, Thoai D</creatorcontrib><title>Why don't urban youth in Zambia use condoms? The influence of gender and marriage on non-use of male condoms among young adults</title><title>PloS one</title><addtitle>PLoS One</addtitle><description>Zambia experiences high unmet need for family planning and high rates of HIV, particularly among youth. While male condoms are widely available and 95% of adults have heard of them, self-reported use in the past 12 months is low among young adults (45%). This study describes factors associated with non-use of male condoms among urban young adults in Zambia.
A household cross-sectional survey in four urban districts was conducted from November 2015 to January 2016 among sexually active young adults ages 18-24 years. A random walk strategy was implemented in urban areas; eligible, enrolled participants were administered a survey on household characteristics, health access, and knowledge, attitudes and practices related to contraception. Relative risk regression models were built to determine factors associated with the decision to not use a male condom (non-use) at most recent sexual intercourse.
A total of 2,388 individuals were interviewed; 69% were female, 35% were married, and average lifetime sex partners was 3.45 (SD±6.15). Non-use of male condoms was 59% at most recent sexual intercourse. In a multivariate model, women were more likely to report non-use of a male condom compared with men (aRR = 1.24 [95% CI: 1.11, 1.38]), married individuals were more likely to report non-use compared with unmarried individuals (aRR = 1.59 [1.46, 1.73]), and those residing in the highest poverty wards were more likely to report non-use compared with those in the lowest poverty wards (aRR = 1.31 [1.16, 1.48]). Those with more negative perceptions of male condom use were 6% more likely to report non-use (aRR = 1.06 [1.03, 1.09]). Discussion regarding contraception with a partner decreased non-use 13% (aRR = 0.87 [0.80, 0.95]) and agreement regarding male condom use with a partner decreased non-use 16% (aRR = 0.84 [0.77, 0.91)]).
Non-use of male condoms is high among young, married adults, particularly women, who may be interested in contraception for family planning but remain at risk of STI infection. Effective marketing strategy of dual protection methods to this population is critical.</description><subject>Acquired immune deficiency syndrome</subject><subject>Adult</subject><subject>Adults</subject><subject>AIDS</subject><subject>Analysis</subject><subject>Biology and Life Sciences</subject><subject>Condoms</subject><subject>Condoms - statistics & numerical data</subject><subject>Contraception</subject><subject>Contraception - methods</subject><subject>Cross-Sectional Studies</subject><subject>Family planning</subject><subject>Female</subject><subject>Gender</subject><subject>Health aspects</subject><subject>Health Knowledge, Attitudes, Practice</subject><subject>Health risks</subject><subject>Humans</subject><subject>Lentivirus</subject><subject>Male</subject><subject>Marriage - psychology</subject><subject>Medicine and Health Sciences</subject><subject>People and Places</subject><subject>Poverty</subject><subject>Random walk</subject><subject>Regression analysis</subject><subject>Regression models</subject><subject>Retroviridae</subject><subject>Risk factors</subject><subject>Risk-Taking</subject><subject>Safe Sex - psychology</subject><subject>Sex Education - methods</subject><subject>Sexual behavior</subject><subject>Sexual Behavior - psychology</subject><subject>Sexual intercourse</subject><subject>Sexual Partners - psychology</subject><subject>Sexually transmitted diseases</subject><subject>STD</subject><subject>Studies</subject><subject>Surveys and Questionnaires</subject><subject>Urban areas</subject><subject>Urban Population</subject><subject>Young Adult</subject><subject>Young adults</subject><subject>Youth</subject><subject>Zambia</subject><issn>1932-6203</issn><issn>1932-6203</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2017</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><sourceid>GNUQQ</sourceid><sourceid>DOA</sourceid><recordid>eNqNk1uL1DAUx4so7jr6DUQDgpeHGXPpJX1RlsXLwMKCrgq-hNMkvQxtMiatOE9-ddOd7jCVfVgCTTn5_f85OYcTRU8JXhGWkbcbOzgD7WprjV5hklGc0nvRKckZXaYUs_tH_yfRI-83GCeMp-nD6IRyxliestPo7496h5Q1r3o0uAIM2tmhr1Fj0E_oigbQ4DWS1ijb-ffoqtbhqGwHbaRGtkSVNko7BEahDpxroAphg4w1y1EYiA7agwGCzppqvCJ8QQ1t7x9HD0povX4y7Yvo28cPV-eflxeXn9bnZxdLmdGkXyqZxzIpSFEmCSQaJIE0kQXELC45zhjhQLnGeSklVkXOCVaqkECylNKClDlbRM_3vtvWejHVzgvCOU5iSvBIrPeEsrARW9eEB-2EhUZcB6yrBLi-ka0WHHRcYkxjrYqYSl3gQnHJgEpOqUxGr3fTbUPRaSW16R20M9P5iWlqUdnfImEpG9-ziF5PBs7-GrTvRdd4qdsWjLbDdd48z3KM8V1QQlNGsjigL_5Dby_ERFWhdSK024YU5WgqzmKecpIn8Zjh6hYqLKW7JvRbl02IzwRvZoLA9PpPX8HgvVh__XJ39vL7nH15xNYa2r72th36xho_B-M9KJ313uny0A-CxThSN9UQ40iJaaSC7NlxLw-imxli_wCr_xyg</recordid><startdate>20170323</startdate><enddate>20170323</enddate><creator>Pinchoff, Jessie</creator><creator>Boyer, Christopher B</creator><creator>Mutombo, Namuunda</creator><creator>Chowdhuri, Rachna Nag</creator><creator>Ngo, Thoai D</creator><general>Public Library of Science</general><general>Public Library of Science (PLoS)</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>IOV</scope><scope>ISR</scope><scope>3V.</scope><scope>7QG</scope><scope>7QL</scope><scope>7QO</scope><scope>7RV</scope><scope>7SN</scope><scope>7SS</scope><scope>7T5</scope><scope>7TG</scope><scope>7TM</scope><scope>7U9</scope><scope>7X2</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8AO</scope><scope>8C1</scope><scope>8FD</scope><scope>8FE</scope><scope>8FG</scope><scope>8FH</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABJCF</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>ARAPS</scope><scope>ATCPS</scope><scope>AZQEC</scope><scope>BBNVY</scope><scope>BENPR</scope><scope>BGLVJ</scope><scope>BHPHI</scope><scope>C1K</scope><scope>CCPQU</scope><scope>D1I</scope><scope>DWQXO</scope><scope>FR3</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>H94</scope><scope>HCIFZ</scope><scope>K9.</scope><scope>KB.</scope><scope>KB0</scope><scope>KL.</scope><scope>L6V</scope><scope>LK8</scope><scope>M0K</scope><scope>M0S</scope><scope>M1P</scope><scope>M7N</scope><scope>M7P</scope><scope>M7S</scope><scope>NAPCQ</scope><scope>P5Z</scope><scope>P62</scope><scope>P64</scope><scope>PATMY</scope><scope>PDBOC</scope><scope>PIMPY</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PTHSS</scope><scope>PYCSY</scope><scope>RC3</scope><scope>7X8</scope><scope>5PM</scope><scope>DOA</scope></search><sort><creationdate>20170323</creationdate><title>Why don't urban youth in Zambia use condoms? 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Academic</collection><collection>PubMed Central (Full Participant titles)</collection><collection>DOAJ Directory of Open Access Journals</collection><jtitle>PloS one</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Pinchoff, Jessie</au><au>Boyer, Christopher B</au><au>Mutombo, Namuunda</au><au>Chowdhuri, Rachna Nag</au><au>Ngo, Thoai D</au><au>Price, Matt A</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Why don't urban youth in Zambia use condoms? The influence of gender and marriage on non-use of male condoms among young adults</atitle><jtitle>PloS one</jtitle><addtitle>PLoS One</addtitle><date>2017-03-23</date><risdate>2017</risdate><volume>12</volume><issue>3</issue><spage>e0172062</spage><epage>e0172062</epage><pages>e0172062-e0172062</pages><issn>1932-6203</issn><eissn>1932-6203</eissn><abstract>Zambia experiences high unmet need for family planning and high rates of HIV, particularly among youth. While male condoms are widely available and 95% of adults have heard of them, self-reported use in the past 12 months is low among young adults (45%). This study describes factors associated with non-use of male condoms among urban young adults in Zambia.
A household cross-sectional survey in four urban districts was conducted from November 2015 to January 2016 among sexually active young adults ages 18-24 years. A random walk strategy was implemented in urban areas; eligible, enrolled participants were administered a survey on household characteristics, health access, and knowledge, attitudes and practices related to contraception. Relative risk regression models were built to determine factors associated with the decision to not use a male condom (non-use) at most recent sexual intercourse.
A total of 2,388 individuals were interviewed; 69% were female, 35% were married, and average lifetime sex partners was 3.45 (SD±6.15). Non-use of male condoms was 59% at most recent sexual intercourse. In a multivariate model, women were more likely to report non-use of a male condom compared with men (aRR = 1.24 [95% CI: 1.11, 1.38]), married individuals were more likely to report non-use compared with unmarried individuals (aRR = 1.59 [1.46, 1.73]), and those residing in the highest poverty wards were more likely to report non-use compared with those in the lowest poverty wards (aRR = 1.31 [1.16, 1.48]). Those with more negative perceptions of male condom use were 6% more likely to report non-use (aRR = 1.06 [1.03, 1.09]). Discussion regarding contraception with a partner decreased non-use 13% (aRR = 0.87 [0.80, 0.95]) and agreement regarding male condom use with a partner decreased non-use 16% (aRR = 0.84 [0.77, 0.91)]).
Non-use of male condoms is high among young, married adults, particularly women, who may be interested in contraception for family planning but remain at risk of STI infection. Effective marketing strategy of dual protection methods to this population is critical.</abstract><cop>United States</cop><pub>Public Library of Science</pub><pmid>28333963</pmid><doi>10.1371/journal.pone.0172062</doi><tpages>e0172062</tpages><oa>free_for_read</oa></addata></record> |
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| recordid | cdi_plos_journals_1880542109 |
| source | MEDLINE; DOAJ Directory of Open Access Journals; Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals; Public Library of Science (PLoS); PubMed Central; Free Full-Text Journals in Chemistry |
| subjects | Acquired immune deficiency syndrome Adult Adults AIDS Analysis Biology and Life Sciences Condoms Condoms - statistics & numerical data Contraception Contraception - methods Cross-Sectional Studies Family planning Female Gender Health aspects Health Knowledge, Attitudes, Practice Health risks Humans Lentivirus Male Marriage - psychology Medicine and Health Sciences People and Places Poverty Random walk Regression analysis Regression models Retroviridae Risk factors Risk-Taking Safe Sex - psychology Sex Education - methods Sexual behavior Sexual Behavior - psychology Sexual intercourse Sexual Partners - psychology Sexually transmitted diseases STD Studies Surveys and Questionnaires Urban areas Urban Population Young Adult Young adults Youth Zambia |
| title | Why don't urban youth in Zambia use condoms? The influence of gender and marriage on non-use of male condoms among young adults |
| url | https://sfx.bib-bvb.de/sfx_tum?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2024-12-21T02%3A09%3A02IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-gale_plos_&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=Why%20don't%20urban%20youth%20in%20Zambia%20use%20condoms?%20The%20influence%20of%20gender%20and%20marriage%20on%20non-use%20of%20male%20condoms%20among%20young%20adults&rft.jtitle=PloS%20one&rft.au=Pinchoff,%20Jessie&rft.date=2017-03-23&rft.volume=12&rft.issue=3&rft.spage=e0172062&rft.epage=e0172062&rft.pages=e0172062-e0172062&rft.issn=1932-6203&rft.eissn=1932-6203&rft_id=info:doi/10.1371/journal.pone.0172062&rft_dat=%3Cgale_plos_%3EA486819547%3C/gale_plos_%3E%3Curl%3E%3C/url%3E&disable_directlink=true&sfx.directlink=off&sfx.report_link=0&rft_id=info:oai/&rft_pqid=1880542109&rft_id=info:pmid/28333963&rft_galeid=A486819547&rft_doaj_id=oai_doaj_org_article_8ae4f0024edb42ceb0bd8c3a2c822c59&rfr_iscdi=true |